Individual provider Active NPI

Emma-Lee Frary

  • Family Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1386454205
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95335866 Issued in CA
Practice address
480 Cornell PL
Ventura, CA 93003-3859
Phone
(315) 742-2079
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95335866 CA Primary

Addresses

Primary practice location

480 Cornell PL
Ventura, CA 93003-3859

Mailing address

480 Cornell PL
Ventura, CA 93003-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408003845 CA Practitioner - Nurse Practitioner 0840714184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians
Hope Valley HealthGroup PAC ID 6507273711, 4 clinicians

Practice addresses (Care Compare)

320 James Way
Suite 110
Pismo Beach, CA 93449-2875
Phone (626) 232-3929

321 W Hobsonway
Blythe, CA 92225-1651
Phone (760) 350-2498

Hospital & facility affiliations

  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95335866CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Valley Health CurrentSince Feb 1, 2025 Accepting new patients

Locations

321 W Hobsonway
Blythe, CA 92225
Phone (760) 350-2498

195 W Highway 246
Buellton, CA 93427
Phone (805) 686-8555

35280 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 350-2498

361 Town Ctr E
Ste 101
Santa Maria, CA 93458
Phone (706) 350-2498

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1386454205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CORNELL PL",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CORNELL PL",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033859",
            "telephone_number": "315-742-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRARY",
        "first_name": "EMMA-LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95335866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.